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Club Registration

Club reg (2010/11)

Fill out this form to register for this season.  Please register early to make it easy for the selectors to organise the teams.

Fields marked with are required. 

Role
PlayerCoachReferee/Umpire
OfficialCommitteeManager
VolunteerAthleteSupporter
First name
Last name
Email address
Phone #
Mobil #
Willing to volunteer
Comments
Verification
Please enter the following text in the space below

WHY?
Terms and Conditions

By paying my sub of $20 Westpac Account 03 1573 0077755 00
I agree to abide by the Te Aroha Mountain Bike Club Code of Conduct.

I accept
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